Healthcare Provider Details

I. General information

NPI: 1598693889
Provider Name (Legal Business Name): ERSIN HAMILTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 NW 36TH ST
OKLAHOMA CITY OK
73112-2970
US

IV. Provider business mailing address

3838 NW 36TH ST
OKLAHOMA CITY OK
73112-2970
US

V. Phone/Fax

Practice location:
  • Phone: 405-702-9032
  • Fax: 405-702-9031
Mailing address:
  • Phone: 405-702-9032
  • Fax: 405-702-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: